Individual
MR. WILLIAM KENNETH HARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4135 SANDRIDGE DR, JACKSON, MS 39211-6549
(601) 946-4548
Mailing address
4135 SANDRIDGE DR, JACKSON, MS 39211-6549
(601) 946-4548
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D6730
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018120
—
MS
Enumeration date
08/24/2006
Last updated
01/06/2022
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